RC 721
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Pv4 Delivery Rm & Routine Sply
Low
$28
Average
$179
Median
$77
High
$635
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 12.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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31 hospital rates
iThe hospitals that file a Amerihealth Caritas rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | $10 | 21% | — | $39 – $60 |
| 2 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | $8 | 21% | — | $31 – $48 |
| 3 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | $11 | 21% | — | $42 – $64 |
| 4 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | $16 | 21% | — | $61 – $93 |
| 5 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | $16 | 21% | — | $61 – $93 |
| 6 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | $16 | 21% | — | $61 – $93 |
| 7 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | $16 | 21% | — | $61 – $93 |
| 8 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $28 | $10 | 37% | — | $17 – $44 |
| 9 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $250 | $635 | $666 | 105% | — | $250 – $1.8k |
| 10 | HSA PGH LLC Hialeah, FL facility · fee schedule · outpatient | 3 | $139 | $190 | $77 | 41% | — | $132 – $299 |
| 11 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 12 | Henry Ford Health System West Bloomfield, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $155 | $55 | 36% | — | $66 – $248 |
| 13 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 14 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $155 | $55 | 36% | — | $66 – $248 |
| 15 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 16 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $155 | $55 | 36% | — | $66 – $248 |
| 17 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 18 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $166 | $179 | $83 | 46% | — | $66 – $386 |
| 19 | Johnston Health Services Corporation Smithfield, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | $57 | 78% | — | $16 – $129 |
| 20 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · inpatientfrom % of charges | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 21 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · inpatientfrom % of charges | 1 | $313 | $313 | — | — | — | $313 – $313 |
| 22 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $313 | $313 | — | — | — | $313 – $313 |
| 23 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 24 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $336 | $336 | — | — | — | $336 – $336 |
| 25 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $157 | $157 | — | — | — | $157 – $157 |
← Payers reporting RC 721 · Snapshot 20261111T120946Z-9134e7f7